PHYLLIS A JACKSON - Registered Nurse License in New York | # 041288384

PHYLLIS A JACKSON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041288384

License Status

INACTIVE

Business

N

First Name

PHYLLIS A

Last Name

JACKSON

Business Name

PHYLLIS A JACKSON

Original Issue Date

05/04/1995

Effective Date

05/04/1995

Expiration Date

05/31/2002

State

NY

Ever Disciplined

N

LastModifiedDate

10/09/2006